NEW YORK STATE
OFFICE OF CHILDREN AND FAMILY SERVICES
PROGRAM BUDGET
Appendix B
Read the Program Budget Instructions
Aging OCFS-5005
FISCAL CONTACT INFORMATION:
Include Name, Phone Number, E-mail address:

PERSONAL SERVICES

TOTAL OCFS FUNDS REQUESTED FOR THIS PROGRAM

TOTAL SALARIES AND WAGES

TOTAL FRINGE BENEFITS

TOTAL PERSONAL SERVICES (1)

CONTRACTED SERVICES AND STIPENDS

TOTAL OCFS FUNDS REQUESTED FOR THIS PROGRAM

TOTAL CONTRACTED SERVICES (2)

TOTAL MAINTENANCE & OPERATION (3)

FACILITY REPAIRS

TOTAL OCFS FUNDS REQUESTED FOR THIS PROGRAM

TOTAL FACILITY REPAIRS (4)

TOTAL OCFS PROGRAM AMOUNT

TOTAL OCFS FUNDS

LIST OF OTHER FUNDING SOURCES

REIMBURSABLE TOTAL

MUNICIPAL FUNDING

OTHER SOURCES

* USE AN ASTERISK NEXT TO THE FIGURES LISTED TO IDENTIFY THOSE ITEMS FOR WHICH OCFS REIMBURSEMENT IS NOT BEING REQUESTED.
USE (IK) TO IDENTIFY ONLY IN KIND SERVICES, EQUIPMENT, ETC DONATED TO PROGRAM, WHERE ALLOWED.

Disclaimer: This form will be submitted to the Saratoga County Department of Aging & Youth Services. Please note that submission of these forms to the County Department of Aging and Youth Services does NOT guarantee funding will be allocated to your program.

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